Temperance Rebekah Blalack, LMFT, MA
Individual provider Active NPI Marriage & Family Therapist · Mobile, AL
NPI 1861996589 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1861996589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- L471 (AL)
- Practice address
- 501 Bishop LN N
Mobile, AL 36608-5821 - Phone
- (251) 450-2250
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | L471 | AL | Yes |
Addresses
Primary practice location
501 Bishop LN N
Mobile, AL 36608-5821
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-2211
Other providers in Mobile, AL
- Judy Blair-Elortegui
- Andrew Blake
- Georgenna Blakes
- Brittney Blakney
- Taylor Blalack
- Jimmie Council Blan
- Kristie Blanchard-Burch
- Madeleine S Blancher
- Rebecca Blankenhorn
- Blankenship General Surgery, LLC
All providers in Mobile, AL · Marriage & Family Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.